MEDICARE: MRS. SARAH ELIZABETH LINDSEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	P1603042	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P1603042	OTHER	AR	LICENSE

General Provider Information

NPI Number	:	1184833634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ELIZABETH LINDSEY LPC

Provider Business Mailing Address
First Line	:	1021 E. WASHINGTON AVENUE
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72114
Country	:	US
Telephone Number	:	501-376-6694
Fax Number	:	501-376-6695

Provider Business Practice Location Address
First Line	:	1021 E. WASHINGTON AVENUE
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72214
Country	:	US
Telephone Number	:	501-376-6694
Fax Number	:	501-376-6695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/05/2016

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